Oral And Maxillofacial Surgery

Boost Your Reimbursements: Insurance Billing Tips for Oral Surgeons

As oral and maxillofacial surgery specialists, you provide critical treatment for facial trauma, pathology, cleft lips/palates, TMJ, sleep apnea, and more. However, navigating insurance billing and payments for these complex procedures can be challenging. Our oral surgery billing experts are here to help. With robust knowledge of common CDT/CPT codes, payer policies, authorization requirements, and claim submission guidelines specific to OMS, we optimize your insurance reimbursements so you can focus on patient care.

What do we offer at MIU Medical Billing Services?

Accurate Coding for Surgical Procedures

We accurately code for all oral surgery procedures including:

  • Biopsies and excisions of oral lesions
  • Tooth extractions, impactions, Alveoloplasty
  • Implant placement surgery
  • Orthognathic surgeries – e.g., cleft lip/palate repair
  • TMJ therapies like arthroscopy, arthroplasty, manipulation
  • Jaw reconstructions following cancer therapy
  • Bony cyst excisions, grafting, and harvesting
  • Correction of jaw deformities or sleep apnea
  • Trauma surgeries – fixation of fractures, lacerations

Eligibility Checks and Securing Authorizations
We verify each patient’s dental insurance coverage and obtain authorizations, when necessary, prior to surgery. This prevents surprise claim denials downstream so you get paid promptly.

Claim Preparation, Submission, and Follow Up
We flawlessly complete CMS/ADA claim forms electronically, append necessary documentation, and submit to payers to facilitate faster processing. We follow up rigorously to resolve any issues with pending, denied, or underpaid claims.

Denial Analysis and Appeals
Using robust analytics on historical claims, we identify denial triggers and patterns. We appeal improper rejections, gather dental records to support your perspective, and communicate effectively with insurers to reverse erroneous denials.

Outreach for Patient Payments
We collect applicable copays, deductibles, and other patient responsibility amounts through statements, phone calls, and customized payment plans – improving cash flow while retaining goodwill.

Guidance on Complex Payer Policies
Billing rules, covered codes, needed authorizations, and acceptable fee ranges change constantly. We stay updated on policies across all major dental payers to ensure optimal OMS reimbursement.

With our dedicated oral surgery billing team managing this highly specialized niche, you can devote full attention to delivering quality care for patient’s reconstructive needs. Contact us today to learn more about our services and how we can become a trusted partner for your practice’s financial success!